Kent County Memorial Hospital: charges and Medicare payments

Kent County Memorial Hospital reported 1,985 Medicare inpatient stays across 63 DRGs in 2024. Across them it charged 2.56 times what it was paid — among the lower ratios in Rhode Island, number 9 of 9 hospitals with at least 100 stays (state median 2.81×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 203 stays at an average charge of $33,048, 41% below the national average. It also billed 1,413 outpatient services, charging 3.92 times what Medicare paid.

1Medicare inpatient stays 1,985
2Charge ÷ paid, inpatient 2.56×
3Rank in RI (highest ratio = 1) 9 of 9
4CMS price-transparency actions 0

Average charge per stay at Kent County Memorial Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 63 DRGs that can be compared with the national average, Kent County Memorial Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
291 Heart Failure and Shock with MCC	203	$33,048	-41%	$13,739
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	161	$53,458	-41%	$19,713
177 Respiratory Infections and Inflammations with MCC	101	$44,062	-38%	$16,542
885 Psychoses	78	$28,745	-35%	$14,787
193 Simple Pneumonia and Pleurisy with MCC	77	$31,951	-47%	$14,249
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	73	$25,699	-36%	$8,184
683 Renal Failure with CC	50	$24,459	-40%	$9,557
287 Circulatory Disorders except AMI, with Cardiac...	43	$33,685	-47%	$11,301
309 Cardiac Arrhythmia and Conduction Disorders with CC	43	$19,936	-45%	$7,767
280 Acute Myocardial Infarction, Discharged Alive with MCC	42	$38,782	-49%	$15,661
194 Simple Pneumonia and Pleurisy with CC	41	$21,950	-43%	$8,330
378 Gastrointestinal Hemorrhage with CC	40	$25,260	-48%	$10,187
178 Respiratory Infections and Inflammations with CC	39	$31,167	-31%	$10,097
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	38	$19,757	-47%	$8,992
690 Kidney and Urinary Tract Infections without MCC	37	$27,402	-28%	$8,396
481 Hip and Femur Procedures except Major Joint with CC	35	$39,872	-60%	$19,295
603 Cellulitis without MCC	35	$19,029	-49%	$9,456
189 Pulmonary Edema and Respiratory Failure	34	$46,520	-19%	$13,252
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	33	$28,897	-41%	$10,470
190 Chronic Obstructive Pulmonary Disease with MCC	32	$34,699	-31%	$13,318
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	31	$23,827	-36%	$8,038
312 Syncope and Collapse	30	$23,782	-48%	$8,925
322 Percutaneous Cardiovascular Procedures with Intraluminal...	30	$51,731	-55%	$19,891
698 Other Kidney and Urinary Tract Diagnoses with MCC	26	$41,079	-44%	$15,689
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	24	$16,584	-42%	$6,557
321 Percutaneous Cardiovascular Procedures with Intraluminal...	24	$72,675	-56%	$29,127
281 Acute Myocardial Infarction, Discharged Alive with CC	23	$27,679	-45%	$9,217
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	23	$48,293	-53%	$20,341
884 Organic Disturbances and Intellectual Disability	23	$48,184	-23%	$19,692
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	22	$28,830	-48%	$9,415
389 Gastrointestinal Obstruction with CC	22	$23,224	-40%	$8,337
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	22	$37,683	-38%	$14,504
308 Cardiac Arrhythmia and Conduction Disorders with MCC	21	$24,875	-56%	$14,113
069 Transient Ischemia without Thrombolytic	20	$21,880	-57%	$8,143
191 Chronic Obstructive Pulmonary Disease with CC	18	$24,209	-39%	$9,706
377 Gastrointestinal Hemorrhage with MCC	18	$49,066	-43%	$17,451
390 Gastrointestinal Obstruction without CC/MCC	18	$18,810	-33%	$6,839
638 Diabetes with CC	18	$24,385	-41%	$9,662
057 Degenerative Nervous System Disorders without MCC	17	$36,781	-35%	$15,862
286 Circulatory Disorders except AMI, with Cardiac...	17	$51,420	-54%	$21,218
394 Other Digestive System Diagnoses with CC	17	$29,502	-37%	$9,781
637 Diabetes with MCC	16	$42,626	-36%	$15,388
699 Other Kidney and Urinary Tract Diagnoses with CC	16	$27,266	-43%	$10,224
066 Intracranial Hemorrhage or Cerebral Infarction without...	15	$26,079	-38%	$8,958
682 Renal Failure with MCC	15	$37,645	-43%	$14,909
689 Kidney and Urinary Tract Infections with MCC	15	$31,294	-39%	$11,715
315 Other Circulatory System Diagnoses with CC	14	$33,106	-31%	$10,471
393 Other Digestive System Diagnoses with MCC	14	$44,956	-41%	$16,394
643 Endocrine Disorders with MCC	14	$38,591	-48%	$16,431
853 Infectious and Parasitic Diseases with O.R. Procedures with...	14	$107,900	-53%	$45,818
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	13	$42,137	-58%	$17,572
208 Respiratory System Diagnosis with Ventilator Support <=96...	13	$61,898	-54%	$24,326
314 Other Circulatory System Diagnoses with MCC	13	$54,670	-42%	$20,647
439 Disorders of Pancreas except Malignancy with CC	13	$28,409	-35%	$8,992
195 Simple Pneumonia and Pleurisy without CC/MCC	12	$21,166	-30%	$7,155
243 Permanent Cardiac Pacemaker Implant with CC	12	$50,146	-55%	$20,663
176 Pulmonary Embolism without MCC	11	$20,749	-50%	$9,606
179 Respiratory Infections and Inflammations without CC/MCC	11	$17,725	-50%	$7,361
202 Bronchitis and Asthma with CC/MCC	11	$19,607	-58%	$10,220
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC	11	$23,379	-46%	$7,293

Showing the 60 most frequent of 63 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	253	$14,493	$2,745
Level 2 Excision/ Biopsy/ Incision and Drainage	123	$6,010	$1,632
Level 3 Musculoskeletal Procedures	110	$9,147	$3,247
Level 1 Endovascular Procedures	94	$9,947	$3,312
Level 4 Urology and Related Services	87	$9,386	$3,538
Level 4 Musculoskeletal Procedures	65	$17,544	$7,171
Level 2 Musculoskeletal Procedures	63	$8,560	$1,612
Level 5 Musculoskeletal Procedures	63	$30,517	$13,149
Level 3 Urology and Related Services	60	$6,500	$2,067
Level 1 Laparoscopy and Related Services	51	$17,252	$5,673
Level 2 Upper GI Procedures	50	$6,507	$1,931
Level 3 Excision/ Biopsy/ Incision and Drainage	46	$11,502	$2,438
Level 3 Vascular Procedures	41	$9,577	$3,235
Level 3 Endovascular Procedures	36	$40,550	$11,152
Level 1 Nerve Procedures	34	$5,671	$1,914
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	31	$8,877	$3,511
Level 5 Airway Endoscopy	30	$22,243	$6,761
Level 5 Urology and Related Services	29	$13,244	$5,251
Level 3 Pacemaker and Similar Procedures	28	$19,308	$10,825
Level 4 Airway Endoscopy	24	$15,771	$3,800
Level 3 Airway Endoscopy	20	$5,926	$1,723
Level 1 Breast/Lymphatic Surgery and Related Procedures	19	$14,354	$3,615
Level 2 Endovascular Procedures	19	$20,513	$5,800
Level 2 Breast/Lymphatic Surgery and Related Procedures	14	$33,280	$6,618
Level 3 Electrophysiologic Procedures	12	$48,612	$24,037

Against the Rhode Island average

For Heart Failure and Shock with MCC (DRG 291), Kent County Memorial Hospital charged $33,048 on average, 12% less than the Rhode Island average of $37,534, and was paid $13,739 against a state average of $12,554. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Kent County Memorial Hospital charged $53,458 on average, 5% less than the Rhode Island average of $56,063, and was paid $19,713 against a state average of $18,474. For Respiratory Infections and Inflammations with MCC (DRG 177), Kent County Memorial Hospital charged $44,062 on average, 6% less than the Rhode Island average of $46,857, and was paid $16,542 against a state average of $15,760. For Psychoses (DRG 885), Kent County Memorial Hospital charged $28,745 on average, 11% less than the Rhode Island average of $32,223, and was paid $14,787 against a state average of $15,330. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,493 was 15% below the state average of $17,131. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,010 was 19% below the state average of $7,430. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $9,147 was 8% above the state average of $8,488. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $9,947 was 21% below the state average of $12,653.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.